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- W2026015638 startingPage "521" @default.
- W2026015638 abstract "末梢性後下小脳動脈瘤（distal PICA aneurysm）は比較的稀な動脈瘤である．今回われわれはdistal PICA aneurysmの中でもクモ膜下出血（subarachnoid hemorrhage；SAH）で発症した二重起始後下小脳動脈吻合部動脈瘤（Aneurysm on double origin of the PICA；double PICA aneurysm）に対して血管内治療を施行した1例を経験した． 症例は44歳男性で糖尿病教育入院中にSAHを認め，当科緊急転科となった．CTではfisher group3のSAH及び第四脳室内にも血腫を認めた．右椎骨動脈撮影にて頭蓋外椎骨動脈より分枝するPICA（extracranial lower branch）と頭蓋内椎骨動脈より分枝するPICA（upper branch）の合流部に動脈瘤を認めた他，右椎骨動脈自体も高度に狭窄，蛇行していた．左椎骨動脈は鎖骨下動脈起始部より閉塞していた．急性期治療を避け，脳血管攣縮期を乗り切り，治療する方針としコイル塞栓術を施行した．術後，動脈瘤陰影は消失し，PICA遠位部も良好に描出されていた． 二重起始後下小脳動脈吻合部動脈瘤（Aneurysm on double origin of the PICA；double PICA aneurysm）に対して，文献的考察を加えて報告する．" @default.
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- W2026015638 date "2008-01-01" @default.
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- W2026015638 title "Endovascular treatment for aneurysm on double origin of the posterior inferior cerebellar artery: Case report" @default.
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- W2026015638 doi "https://doi.org/10.3995/jstroke.30.521" @default.
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